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Debt - Narrative (Details)
3 Months Ended
Apr. 15, 2020
USD ($)
Apr. 01, 2020
USD ($)
Mar. 31, 2020
USD ($)
bank
Dec. 31, 2019
USD ($)
bank
Mar. 31, 2019
USD ($)
Mar. 16, 2020
USD ($)
Debt Instrument [Line Items]            
Net proceeds on issuance of long-term debt     $ 3,470,000,000   $ 0  
Aggregate principal amount of outstanding debt securities under tender offer and optional redemption     3,200,000,000      
Aggregate principal amount of outstanding debt securities under tender offer     1,450,000,000      
Aggregate principal amount of outstanding debt securities under optional redemption     1,760,000,000      
Loss on repurchase of debt, pre-tax     185,000,000   0  
Loss on repurchase of debt, after-tax     140,000,000      
Repayment of long-term debt     4,209,000,000   $ 1,000,000,000  
Payments for debt tender and redemption     3,200,000,000      
Commercial paper     $ 770,000,000 $ 944,000,000    
Commercial Paper            
Debt Instrument [Line Items]            
Weighted average interest rate, commercial paper     2.28%      
Subsequent Event            
Debt Instrument [Line Items]            
Aggregate principal amount of outstanding debt securities under tender offer and optional redemption $ 289,000,000          
Loss on repurchase of debt, pre-tax          
Medco Notes            
Debt Instrument [Line Items]            
Aggregate principal amount     $ 349,000,000      
Stated interest rate     4.125%      
Revolving Credit Agreement            
Debt Instrument [Line Items]            
Number of participating banks | bank     23      
Maximum borrowing capacity     $ 3,250,000,000      
Amount by which credit facilty amount can be increased     $ 500,000,000      
Amount by which credit facilty term length can be increased     1 year      
Leverage ratio covenant     60.00%      
Revolving Credit Agreement | Letter of Credit            
Debt Instrument [Line Items]            
Maximum borrowing capacity     $ 500,000,000      
364-day Revolving Credit Agreement | Revolving Credit Facility            
Debt Instrument [Line Items]            
Number of participating banks | bank       23    
Maximum borrowing capacity       $ 1,000,000,000.0    
Credit agreement term       364 days    
364-Day Term Loan            
Debt Instrument [Line Items]            
Leverage ratio covenant     60.00%      
364-Day Term Loan | Subsequent Event | Line of Credit            
Debt Instrument [Line Items]            
Credit agreement term   364 days        
Aggregate principal amount   $ 1,400,000,000        
Prepayment rate   20.00%        
Senior Notes            
Debt Instrument [Line Items]            
Aggregate principal amount           $ 3,500,000,000